13-02-2023
Understanding Schizophrenia, Its Diagnosis And Treatment

Schizophrenia is a complex and serious mental illness that affects how a person thinks, feels, and behaves. It is characterized by symptoms such as delusions, hallucinations, disordered thinking and speech and abnormal behaviour. Schizophrenia can have a profound impact on a person's life and their ability to function in society, and it is estimated to affect around 1% of the global population.

The exact cause of schizophrenia is unknown, but it is believed to be a combination of genetic, environmental and brain chemistry factors. People with a family history of schizophrenia are at a higher risk of developing the illness, and certain environmental factors, such as stress and drug abuse, may also contribute to its onset.

The symptoms of schizophrenia typically appear in late adolescence or early adulthood and may develop gradually or suddenly. The symptoms can be divided into two categories

  • Positive symptoms are those that involve an increase in abnormal behaviour or thought processes, such as delusions, hallucinations, and disordered speech and thinking.
  • Negative symptoms refer to a reduction in normal behaviour and emotional expression, such as apathy, lack of motivation, and emotional withdrawal.

Diagnosis of schizophrenia is based on a clinical assessment, which takes into account a person's symptoms, medical history, and any other relevant information. To be diagnosed with schizophrenia, a person must have experienced at least two positive symptoms for a significant period of time, such as delusions and hallucinations. The symptoms must also be severe enough to affect the person's ability to function in their daily life.

Treatment for schizophrenia typically involves a combination of medication and psychotherapy. Antipsychotic medication is the mainstay of treatment for schizophrenia and is effective in reducing positive symptoms, such as delusions and hallucinations. However, these medications can also cause side effects, such as drowsiness, weight gain, and tremors, so it is important for individuals with schizophrenia to work closely with their doctor to find the best medication for their specific needs.

Psychotherapy, such as cognitive behavioural therapy (CBT) and family therapy, can also be helpful for individuals with schizophrenia. CBT focuses on changing negative thought patterns and behaviours, while family therapy aims to improve communication and relationships within the family. In addition, support groups and vocational rehabilitation can help people with schizophrenia develop practical skills and connect with others who are experiencing similar challenges.

Living with schizophrenia can be challenging, and many people with the illness face significant barriers in their daily lives, such as social isolation, unemployment, and poverty. Despite these challenges, with appropriate treatment and support, many people with schizophrenia are able to lead fulfilling and productive lives.

In conclusion, schizophrenia is a complex and serious mental illness that affects how a person thinks, feels, and behaves. The exact cause of schizophrenia is unknown, but a combination of genetic, environmental, and brain chemistry a factor is believed to contribute to its onset. Treatment for schizophrenia typically involves a combination of medication and psychotherapy, and with the right support, many people with the illness are able to lead fulfilling and productive lives.

Doctor
Dr. K.M. Hassan
Director
Department of Neurology
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